FDA Adverse Event Injury Summary report: N

ENDURITY¿ CORE DR, MRI (US)

MDR report key: 17086333 · Received June 8, 2023

Report

Report Number
2017865-2023-22625
Event Type
Injury
Date Received
June 8, 2023
Date of Event
May 22, 2023
Report Date
August 22, 2023
Manufacturer
ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
Product Code
DXY
PMA / PMN Number
P880086
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

FIELD EVENT OF CAPTURING PROBLEM WAS NOT CONFIRMED. THE DEVICE WAS AT END OF LIFE (EOS) LEVEL UPON RECEIPT. ANALYSIS OF DEVICE IMAGE INDICATED DEVICE WAS PROGRAMMED TO HIGH FIELD SETTINGS DURING IMPLANT PERIOD. FURTHER ANALYSIS PERFORMED DID NOT FIND ANY ANOMALY WITH BATTERY VOLTAGE END OF SERVICE (EOS) LEVEL. LONGEVITY ASSESSMENT WAS PERFORMED, AND IMPLANT DURATION EXCEEDS TOTAL PROJECTED LONGEVITY INDICATING NORMAL BATTERY DEPLETION.

Description of Event or Problem · 0

IT WAS REPORTED DURING IN CLINIC FOLLOW UP THAT THE PACEMAKER WAS EXHIBITING HIGH CAPTURE THRESHOLD. THE DEVICE WAS EXPLANTED AND SUCCESSFULLY REPLACED. THE PATIENT WAS STABLE AND ASYMPTOMATIC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
268231 ENDURITY¿ CORE DR, MRI (US) IMPLANTABLE PACEMAKER PULSE GENERATOR DXY ST. JUDE MEDICAL, INC.(CRM-SYLMAR) PM2140 P000100864

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention